Low Social Support is Associated With Postpartum Depression Symptoms Among Illinois Postpartum Women.

IF 2.8 3区医学 Q1 NURSING

Birth-Issues in Perinatal Care Pub Date : 2024-10-18 DOI:10.1111/birt.12889

Abigail Holicky, Ashley Horne, Amanda C Bennett

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引用次数: 0

Abstract

Background: Postpartum depression (PPD) occurs after delivery, with severity and onset varying by individual. Women with low social support may be at higher risk for PPD. This study examined the association between social support and self-reported postpartum depression symptoms (PDS) among Illinois postpartum women.

Methods: Using 2016-2020 data from the Illinois Pregnancy Risk Assessment Monitoring System (PRAMS) (n = 5886), instrumental support (physical, hands-on support) and partner emotional support were each categorized as high/low and were combined in a composite measure (high = high on both types, moderate = high on one type, and low = low on both types). PDS were self-reported. Crude and adjusted odds ratios (aOR) and 95% confidence intervals (CI) were calculated using logistic regression.

Results: Overall, 9.6% (95% CI = 8.8-10.4) of Illinois postpartum women experienced PDS. Of Illinois postpartum women, 63.5% (95% CI = 62.1-64.9) had high composite support, 29.3% (95% CI = 28.0-30.6) had moderate composite support, and 7.1% (95% CI = 6.4-7.9) had low composite support. After adjustment for maternal characteristics, instrumental support, partner emotional support, and a composite measure of support were each significantly associated with PDS. Compared to women with high composite support, women with low composite support had six times the odds of PDS (aOR = 6.1, 95% CI = 4.5-8.2), and women with moderate composite support had nearly three times the odds of PDS (aOR = 2.7, 95% CI = 2.2-3.4).

Conclusion: PDS was associated with instrumental support, partner emotional support, and a composite measure of support in Illinois postpartum women. This suggests the importance of addressing social support for postpartum individuals.

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伊利诺伊州产后妇女的低社会支持与产后抑郁症状有关。

背景：产后抑郁症（PPD）发生在产后，严重程度和发病时间因人而异。社会支持少的妇女患产后抑郁症的风险可能更高。本研究调查了伊利诺伊州产后妇女的社会支持与自我报告的产后抑郁症状（PDS）之间的关系：利用伊利诺伊州妊娠风险评估监测系统（PRAMS）（n = 5886）中的 2016-2020 年数据，将工具性支持（身体、动手支持）和伴侣情感支持分别归类为高/低，并将其合并为一项综合指标（高 = 两种类型都高；中等 = 一种类型都高；低 = 两种类型都低）。PDS 均为自我报告。采用逻辑回归法计算了粗略和调整后的几率比（aOR）以及 95% 的置信区间（CI）：总体而言，9.6%（95% CI = 8.8-10.4）的伊利诺伊州产后妇女经历过 PDS。在伊利诺伊州的产后妇女中，63.5%（95% CI = 62.1-64.9）的综合支持度较高，29.3%（95% CI = 28.0-30.6）的综合支持度中等，7.1%（95% CI = 6.4-7.9）的综合支持度较低。在对产妇特征进行调整后，工具性支持、伴侣情感支持和综合支持均与 PDS 显著相关。与获得高综合支持的女性相比，获得低综合支持的女性发生 PDS 的几率是后者的六倍（aOR = 6.1，95% CI = 4.5-8.2），获得中等综合支持的女性发生 PDS 的几率是后者的近三倍（aOR = 2.7，95% CI = 2.2-3.4）：结论：伊利诺伊州产后妇女的 PDS 与工具支持、伴侣情感支持和综合支持措施有关。这表明为产后妇女提供社会支持的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Birth-Issues in Perinatal Care 医学-妇产科学

CiteScore

4.10

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.